Premature
Conditions
Keywords
premature, Early intervention, orofacial stimulation, feeding difficulties, orality
Brief summary
The goal of this observational study is to assess the link between reactions to orofacial stimuli observed at 29 weeks of amenorrhoea, and feeding difficulties at 36 weeks of amenorrhoea, in babies born prematurely between 26 and 27 + 6 weeks of gestation, admitted to the CHSF between 1 May 2025 and 31 March 2026. The main questions it aims to answer are : Can reactions to orofacial stimulation in babies born very prematurely be used as a tool for early detection of feeding difficulties before discharge from hospital? Is it possible to establish a predictive score for potential feeding difficulties as early as 29 weeks of gestation corrected, based on reactions to orofacial stimuli ? Participants will have their reactions to orofacial stimulations recorded in the 'Suivi oralité' grid completed by the nurses in the neonatal medicine and intensive care unit, which will then collect.
Interventions
OTHEROro-facial stimulation
massages and sensory stimulation aimed at stimulating the oral-facial reflexes of newborns (hand-to-mouth connection, cardinal points, milk smell, digging, crushing (finger or teat), sucking (crushing + suction))
Sponsors
Centre Hospitalier Sud Francilien
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
26 Weeks to 28 Weeks
Healthy volunteers
No
Inclusion criteria
* Premature babies born between 26 and 27 + 6 weeks of gestation * Admitted to the CHSF between 1 May 2025 and 31 March 2026 * Criteria grid completed upon admission * Parents or guardians informed of the study and not opposed to it.
Exclusion criteria
* ENT malformation * Neurological pathology * Dysplasia or oxygen therapy greater than or equal to 0.3L/min (these children are seen systematically) * Extreme prematurity (gestational age less than 26 weeks) * Genetic syndrome * Anoxic-ischaemic encephalopathy * Digestive malformation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enteral nutrition | at 36 weeks | Necessity for newborns to be fed exclusively by enteral nutrition at 36 weeks' gestation for at least 24 hours, percentage of milk volume taken orally at 36 weeks' gestation compared to prescription, average duration of bottle feeding at 36 weeks' gestation |
Countries
France
Contacts
CONTACTHasinirina Hasinirina RAZAFIMAHEFA, MD
CONTACTCaroline TOURTE
PRINCIPAL_INVESTIGATORHasinirina RAZAFIMAHEFA, MD
Centre Hospitalier Sud Francilien
Outcome results
None listed